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Individual
DORA H. SO
Active
Individual
DORA H. SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C54106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030969
BMC HEALTHNET
MA
05
—
2105021
—
MA
01
—
412496
RIBCHIP
—
01
—
462213
TUFTS
—
01
—
5276624
CIGNA
—
01
—
96056
FALLON
—
01
—
AA38564
HPHC
—
01
—
J28938
MABC
MA
Enumeration date
07/23/2006
Last updated
12/12/2019
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